Bowel Issues: When to Seek Medical Attention - Surgery

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Bowel issues


I initially only experienced irregular bowel movements and occasional bloating, which did not significantly affect my daily life.
A long time ago, I consulted a doctor who prescribed some medications to promote gastrointestinal motility.
Since I am currently preparing for exams, I planned to see a doctor after my exams next year.
However, recently I have been feeling something unusual.
I am not only experiencing mild diarrhea, but the stools are almost liquid and dispersed in the toilet.
Sometimes I have a strong urge to go, but it feels like something is stuck deep inside, and when I try to push, it seems to retract.
I also frequently experience abdominal pain.
In the past few days, I have even felt sudden pain in the area between my urethra and anus, which occurs at unpredictable times, usually when I change positions.
Previously, I only had occasional pressure sensations.
I came across some information today suggesting a possible connection to cancer, which made me feel anxious.
I wanted to ask for your advice.
Thank you, doctor, for your hard work.

Hao duo wen ti, 10~19 year old female. Ask Date: 2020/11/15

Dr. Xu Kaixi reply Surgery


There are many factors that can affect bowel movements, including diet and lifestyle habits.
If bowel issues have led to the symptoms you described and are impacting your quality of life, it is advisable to visit a gastroenterologist for further examination and treatment.

Reply Date: 2020/11/15

More Info


When it comes to bowel issues, understanding when to seek medical attention is crucial for your health and peace of mind. Based on your description, it seems that you are experiencing a combination of symptoms, including irregular bowel movements, abdominal pain, and changes in stool consistency. Here’s a breakdown of your situation and guidance on when to seek further medical evaluation.


Symptoms Overview
1. Bowel Movement Changes: You mentioned experiencing diarrhea with a "misty" and scattered appearance. This can indicate a few things, including irritation in the intestines, dietary issues, or even infections. The fact that you also feel an urge to defecate but struggle to do so could suggest a condition known as "tenesmus," which is often associated with inflammation in the rectum or colon.

2. Abdominal Pain: The abdominal pain you are experiencing, especially if it is new or worsening, should not be ignored. Pain that is persistent or severe can indicate underlying issues that may require medical attention.

3. Pain in the Urethra to Anus Area: The pain you describe between the urethra and anus could be related to several factors, including muscle tension, nerve irritation, or even conditions like pelvic floor dysfunction. It’s important to note that changes in posture can sometimes exacerbate these sensations.


When to Seek Medical Attention
Given your symptoms, here are some guidelines on when to seek medical attention:
- Persistent Symptoms: If your symptoms persist for more than a few days without improvement, it’s advisable to consult a healthcare professional. This includes ongoing diarrhea, abdominal pain, or any new symptoms that arise.

- Severe Pain: If you experience severe abdominal pain that is not relieved by over-the-counter medications or changes in diet, you should seek medical attention immediately.

- Blood in Stool: While you did not mention blood in your stool, if you notice any blood or mucus, this warrants an immediate visit to a healthcare provider.

- Changes in Urination: If the pain in your urethra becomes more frequent or severe, or if you notice changes in your urinary habits (such as increased frequency, urgency, or pain during urination), you should see a doctor.

- Concerns about Cancer: If you have concerns about cancer, especially if you have a family history or other risk factors, it is always better to err on the side of caution and discuss these concerns with your doctor.


Additional Considerations
- Diet and Lifestyle: Since you mentioned preparing for exams, stress and dietary changes can significantly impact bowel health. Ensure you are maintaining a balanced diet rich in fiber, staying hydrated, and managing stress levels as much as possible.

- Follow-Up with a Doctor: If you have previously been prescribed medications for bowel issues, it might be beneficial to follow up with your healthcare provider to reassess your treatment plan, especially if your symptoms have changed.

- Diagnostic Tests: Depending on your symptoms, your doctor may recommend tests such as stool analysis, blood tests, or imaging studies to rule out any serious conditions.


Conclusion
In summary, while some bowel issues can be benign and related to stress or diet, the combination of symptoms you are experiencing suggests that it would be wise to consult a healthcare professional sooner rather than later. They can provide a thorough evaluation, rule out any serious conditions, and help you find relief from your symptoms. Remember, your health is paramount, and addressing these concerns early can lead to better outcomes.

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